Alice W. Duston
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cherryfield, ME
NPI 1861531311 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1861531311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 1092870 (ME)
- Practice address
- 63 Main St.
Cherryfield, ME 04622 - Phone
- (207) 546-2050
- Fax
- (207) 546-2490
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1092870 | ME | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 1092870 | ME | Yes |
Addresses
Primary practice location
63 Main St.
Cherryfield, ME 04622
Mailing address
PO Box 116
Cherryfield, ME 04622-0116
Phone (207) 546-2050
Other providers in Cherryfield, ME
- Kristina Bailey
- David Owen Crabtree
- Daniel N Gasper LCPC Ladc LLC
- Bonnie Ablamsky Fontaine
- Daniel Gasper
- Sensational Learning, Inc.
- Erika Rhodes Sprague
- Town of Cherryfield
All providers in Cherryfield, ME · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.